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1740587666
KELLEY ELIZABETH MACKENZIE
SOUTH PORTLAND, ME
NPI
1740587666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME LC3942)
Enumeration Date
2011-02-13
Last Update Date
2011-02-13
Business Address
Ms. KELLEY ELIZABETH MACKENZIE MS, LADC
650 MAIN ST SUITE 103
SOUTH PORTLAND, ME 04106-5448
Phone number: 207-774-4564
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Mailing Address
Ms. KELLEY ELIZABETH MACKENZIE MS, LADC
650 MAIN ST SUITE 103
SOUTH PORTLAND, ME 04106-5448
Phone number: 207-774-4564
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